| 12/02/2015 |
| 08:37:45 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ORTH, MARK, | HC-9168 | R | 31.34 | 5146********8882 | 7FB8AD | 12/02/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 31.34 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 31.34 |